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护士面对患者死亡时的准备情况。

Readiness of nurses when faced with a patient's death.

机构信息

Universitas Cardinalis Stephani Wyszyński Varsoviae, Cardinal Stefan Wyszyński University in Warsaw, Warsaw, Poland.

Department of Integrated Medical Care, Medical University of Białystok, Białystok, Poland.

出版信息

Front Public Health. 2024 Aug 2;12:1399025. doi: 10.3389/fpubh.2024.1399025. eCollection 2024.

Abstract

INTRODUCTION

The death of a patient negatively affects the professional dimension of nurses' functioning and also their private lives, where professional experiences and emotions are often transmitted.

AIM OF THE STUDY

The main aim of the study was to discover how the nursing staff assessed their self-efficacy in dealing with the death of a patient.

MATERIALS AND METHODS

The researchers used a diagnostic survey method and a self-authored survey, Life Satisfaction Scale (SWLS), Coping Inventory for Stressful Situations (CISS), Generalized Self-Efficacy Scale (GSES), Courtauld Emotional Control Scale (CECS), The Death Anxiety and Fascination Scale with the Death Anxiety Subscale. The study group consisted of 287 individuals.

RESULTS

Working in a hospital is stressful in the opinion of 79.44% of the respondents. 39.37% of the respondents feared death. In the course of work, the death of a patient in the department was sometimes experienced by 34.84% of the respondents, always experienced by 29.97%. The respondents usually did not make their compassion for a dying patient based on the patient's position in society (57.84%). In the case of the majority (84.67%) of the respondents, the employer did not provide mental support for the staff in difficult situations. The majority of the respondents did not feel the need to broaden their knowledge of death and dying (64.11%).

CONCLUSION

The surveyed nurses most often presented low or average life satisfaction, high self-efficacy, average levels of stress and coping in all three styles (with a preference for avoidance-oriented), and a high level of death fascination and an average level of death anxiety. The majority of the nurses in difficult situations and when a stressful situation occurred did not receive support from their employer or from physicians, but could count on the assistance of fellow nurses and a divisional nurse. The majority of the respondents felt that psychological support in their work was important and would gladly benefit from it. Although most nurses did not feel the need to broaden their knowledge of death/dying, they would take part in such a course if it were possible.

摘要

引言

患者的死亡会对护士的职业功能产生负面影响,也会对他们的私人生活产生影响,因为专业经验和情绪往往会在其中传递。

目的

本研究的主要目的是发现护理人员如何评估自己在处理患者死亡方面的自我效能。

材料和方法

研究人员采用了诊断性调查方法和自行编制的调查工具,包括生活满意度量表(SWLS)、应对压力情况量表(CISS)、一般自我效能感量表(GSES)、考陶尔德情绪控制量表(CECS)和死亡焦虑与迷恋量表及其死亡焦虑子量表。研究对象为 287 人。

结果

79.44%的受访者认为在医院工作有压力。39.37%的受访者害怕死亡。在工作过程中,34.84%的受访者有时会在部门经历患者死亡,29.97%的受访者总是会经历。受访者通常不会根据患者在社会中的地位来同情临终患者(57.84%)。在大多数情况下(84.67%),雇主不会在困难情况下为员工提供心理支持。大多数受访者认为没有必要拓宽他们对死亡的认识(64.11%)。

结论

调查的护士大多表现出较低或中等的生活满意度、较高的自我效能感、在所有三种应对方式(偏好回避型)中中等水平的压力和应对能力,以及较高的死亡迷恋程度和中等水平的死亡焦虑程度。在困难情况下和出现压力情况时,大多数护士没有得到雇主或医生的支持,但可以得到同事和科室护士的帮助。大多数受访者认为工作中的心理支持很重要,并愿意从中受益。尽管大多数护士觉得没有必要拓宽他们对死亡/临终的认识,但如果有机会,他们会参加这样的课程。

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